Navigating Menopause and Hormone Therapy with Dr. Mindy Goldman and Joanna Strober of Midi Health

In this inspiring episode of SHE MD, hosts Mary Alice Haney and Dr. Thaïs Aliabadi welcome Dr. Mindy Goldman and Joanna Strober, founders of MIDI Health. Dr. Goldman shares her expertise on individualized hormone therapy approaches, while Strober explains how Midi Health is revolutionizing access to menopause care through telemedicine and more. The episode provides valuable insights for women navigating perimenopause and menopause, as well as healthcare professionals seeking to improve their understanding of hormone therapy. 

Access more information about the podcast and additional expert health tips by visiting SHE MD Podcast and Ovii.       

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MIDI HEALTH’S KEY TAKEAWAYS:

• Evaluate Breast Cancer Risk: If you have a family history or genetic predisposition, consult with a specialist about hormone therapy and preventive measures.
• Consider Vaginal Estrogen: For vaginal dryness, vaginal estrogen can help, even if you have a history of breast cancer or a breast cancer patient.
• Assess Heart Health: Get a coronary calcium scan to evaluate heart health before starting hormone therapy. 
• Consider Hormone Therapy Under The Age of 60: Discuss the potential benefits of bioidentical hormones with your doctor, 10 years before your menopause. The timing hypothesis says that the benefits of hormones tend to outweigh the risks if you start people within that 10-year window.
• Explore Non-Hormonal Alternatives: Lifestyle, dietary changes, and non-hormonal alternatives like CBT can help in managing menopausal symptoms

IN THIS EPISODE:  

• (00:00) Intro
• (01:27) How the Midi Health Founders got together and started Midi Health
• (06:50) HRT for Breast Cancer Patients
• (12:16) Hormones and breast cancer risk explained
• (24:55) How does Midi Health work?
• (33:16) Non-hormonal options for breast cancer patients
• (46:33) Can you use estrogen on your face?
• (48:18) When should you be on hormones and for how long?
• (57:51) Do you prefer estrogen patch or gel? 
• (59:05) Testosterone, HRT, and menopause to improve libido
• (01:07:53) How to join Midi Health?

RESOURCES:

Visit MIDI Health website joinmidi.com: http://joinmidi.com

Joanna Strober’s LinkedIn: https://www.linkedin.com/company/midi-health/mycompany/

Mindy Goldman’s LinkedIn: https://www.linkedin.com/in/mindy-goldman-9b7a8930/

GUEST BIOGRAPHY:

Joanna Strober is the CEO and founder of Midi Health, a virtual care platform for women in perimenopause and menopause. The company brings expert care, covered by insurance, to women nationwide. Prior to Midi, Joanna founded Kurbo, the first digital therapeutic for childhood obesity, which was scaled to help tens of thousands children worldwide and the company was successfully sold to Weight Watchers in 2018. Prior to diving into digital health, Joanna spent more than 20 years in direct private equity and venture capital investing in health and consumer companies including a number of notable consumer internet companies, including BlueNile, eToys, Babycenter, HotJobs and Flycast.

Joanna is the author of the book Getting to 50/50, a primer on how women can succeed and thrive at work and at home. She has spoken extensively to corporate and graduate school audiences on the topic of women and leadership. She was also named to the Forbes 50 over 50 list of top Innovators in 2023.

Mindy Goldman is the Chief Clinical Officer at Midi Health and a Clinical Professor Emeritus in the Department of Obstetrics and Gynecology and Director of the Gynecology Center for Cancer Survivors and At-Risk Women Program at the University of California, San Francisco. As Midi’s Chief Clinical Officer, Dr. Mindy Goldman brings her decades of experience as an OB/GYN to all our patient care, but survivors of breast cancer and at-risk women are a special focus for her. Dr. Goldman is a nationally recognized expert in the menopausal symptoms that come with treatment for breast cancer, and how to improve them safely and effectively. Dr. Goldman has created a unique program that bridges gynecology and breast oncology, and provides breast cancer survivors with care that is focused on quality of life and addresses specific women’s health needs while undergoing cancer treatment. She is a nationally recognized expert in this field and in 2012 authored the American College of Gynecology (ACOG) Technical Bulletin that provides comprehensive clinical guidelines on the management of gynecologic issues in women with breast cancer. She is on the survivorship panel for the National Comprehensive Cancer Network (NCCN) and is the Sub-committee Chair for the panels on sexual functioning and menopause and helped author the NCCN management guidelines in these areas.

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